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An exploratory, single-center study of factors associated with child marriage among Syrian female adolescents residing in Turkey 居住在土耳其的叙利亚女青少年童婚相关因素的探索性单中心研究
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-28 DOI: 10.1080/02739615.2022.2156344
M. Kutuk, Fethiye Kılıçaslan, A. Tufan, Fatma Çelik, C. Gokcen, Harika Gozde Gozukara Bag, Gulay Servi, Mehtap Karali, Gamze Bahsi, Ceyhun Servi, Reşat Alatlı, Betul Kandemir, Neslihan Aytekin, O. Kutuk
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引用次数: 0
Camp health care practices and adaptations associated with COVID-19 与新冠肺炎相关的营地卫生保健实践和适应
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-15 DOI: 10.1080/02739615.2022.2156513
B. Garst, Alexsandra Dubin, T. Gaslin, B. Schultz, Michael Ambrose, Andrew N. Hashikawa, Ashley Dehudy
ABSTRACT The COVID-19 pandemic caused significant changes in camp health care implementation. This study evaluated camp providers’ COVID-19 management practices following the summer of 2021 to inform future communicable disease planning. Online questionnaire data were collected from camp leaders and health care providers (n = 321). Reported COVID-19 cases were very low among both campers and staff. Most camps encouraged camper and staff vaccination before camp, with only a quarter requiring staff vaccination. NPIs used most frequently included cohorting, enhanced cleaning procedures, and scheduled hand hygiene. Camps also reduced the number of campers served and relocated dining, camp health care, and other activities outdoors. A positive correlation was found between requiring staff COVID vaccination and no positive COVID-19 cases. These findings offer insight into communicable disease mitigation strategies and organizational planning that can continue to keep camp populations healthy during communicable disease events like COVID-19.
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引用次数: 0
Unmet health care needs in children of parents with poor self-rated mental health: justification for a “think-family” approach 自我评估心理健康状况不佳的父母子女未满足的医疗保健需求:“思考家庭”方法的正当性
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-11-25 DOI: 10.1080/02739615.2022.2148670
Jane T. Hatzell, Sarah A. Gioia, L. Francis
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引用次数: 2
2022: the national institute of health and responding to new forms of childhood adversity 2022年:国家健康和应对新形式童年逆境研究所
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-10-17 DOI: 10.1080/02739615.2022.2132949
D. Gitterman, W. Hay, W. Langford
Child health care researchers and practitioners have a responsibility to ensure the health of the pediatric population. An important new question is whether recent changes in the burden of childhood disease and disability are reflected in the National Institute of Health (NIH) allocation process. Existing and new childhood adversities pose deleterious consequences on health and well-being. Take the leading cause of death among children. In 2020, firearm injuries became the leading cause of death among children and adolescents, exceeding those caused by motor vehicle crashes. From 2019 to 2020, the relative increase in the rate of firearm deaths of all types (suicide, homicide, unintentional, and undetermined) among children and adolescents was 29.5% – more than twice as high as the relative increase in the general population (Goldstick, Cunningham, & Carter, 2022). Understanding emerging child health challenges which pose the greatest threat to health and wellbeing can help NIH leaders decide how to use limited resources for maximum benefit. We offer an update on the NIH child health research portfolio and conclude that we might realign priorities to address new forms of childhood adversity. Despite an overall increase in NIH child research funding, scholars have noted that funding across diseases and conditions is uneven and insufficiently responsive to the changing burden of disease (Rees, Monuteaux, Herdell, Fleegler, & Bourgeois, 2021; Gordon & Corwin, 2022; Goldstick et al., 2022; Grummitt et al., 2021; Rockey & Wolinetz, 2015). The NIH reports that it recognizes the importance of the responsiveness of funding to the burden of disease as one of many considerations for setting research funding priorities. The NIH does not attempt to apply a one-size-fits-all approach to the burden of disease in funding decisions. It considers multiple data sources and examines each disease category on a case-by-case basis when determining the best strategy for the allocation of funds. However, research funding for existing and new child health challenges has been variable and insufficient. As a result, the NIH child health research priorities should be evaluated at regular intervals to meet changing individual and population health challenges. The NIH child health research portfolio is defined as the total funds obligated to conduct or support pediatric research. To improve consistency
儿童保健研究人员和从业人员有责任确保儿童人口的健康。一个重要的新问题是,最近儿童疾病和残疾负担的变化是否反映在国家卫生研究所(NIH)的分配过程中。现有的和新的童年逆境对健康和福祉造成有害后果。以儿童死亡的主要原因为例。2020年,火器伤害超过机动车碰撞,成为儿童和青少年死亡的首要原因。从2019年到2020年,儿童和青少年中所有类型的枪支死亡率(自杀、他杀、无意和未确定)的相对增长率为29.5%,是普通人群相对增长率的两倍多(Goldstick, Cunningham, & Carter, 2022)。了解对健康和福祉构成最大威胁的新出现的儿童健康挑战可以帮助NIH领导人决定如何利用有限的资源获得最大利益。我们提供了美国国立卫生研究院儿童健康研究组合的更新,并得出结论,我们可能会重新调整优先事项,以解决新形式的儿童逆境。尽管美国国立卫生研究院的儿童研究经费总体上有所增加,但学者们注意到,各种疾病和病症的资助是不平衡的,不能充分响应不断变化的疾病负担(Rees, Monuteaux, Herdell, Fleegler, & Bourgeois, 2021;Gordon & Corwin, 2022;Goldstick et al., 2022;Grummitt等人,2021;Rockey & Wolinetz, 2015)。美国国立卫生研究院报告说,它认识到资金对疾病负担的响应性的重要性,这是确定研究资金优先次序的许多考虑因素之一。美国国立卫生研究院并没有试图在资助决策中对疾病负担采用一刀切的方法。在确定资金分配的最佳战略时,它考虑多个数据来源,并逐案审查每个疾病类别。然而,针对现有和新的儿童健康挑战的研究经费变化不定,而且不足。因此,美国国立卫生研究院的儿童健康研究重点应定期评估,以满足不断变化的个人和人口健康挑战。美国国立卫生研究院儿童健康研究投资组合被定义为进行或支持儿科研究的总资金。为了提高一致性
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引用次数: 2
Turkish children’s bedtime routines during the COVID-19 pandemic: preliminary evaluation of the bedtime routines questionnaire 新冠肺炎大流行期间土耳其儿童的就寝习惯:就寝习惯问卷的初步评估
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-10-15 DOI: 10.1080/02739615.2022.2134133
Özge Barata, Ibrahim H. Acar
ABSTRACT Children’s routines, including bedtime, have been disrupted during the COVID-19 pandemic. How parents engage in their children’s bedtime routines has not yet been examined in Turkey. The purpose of the current study was to understand the nature of children’s bedtime routines and how these routines contributed to their sleep behaviors during the COVID-19 pandemic. Mothers of 313 (143 girls) children aged between 16 and 84 months old (M = 52.42, SD = 12.36) completed questionnaires regarding children’s bedtime routines and sleep behaviors. The structure of the bedtime routines questionnaire was confirmed. Results from the regression analyses showed that routine environment was related to both bedtime resistance and sleep duration. Reactivity during bedtime was related to bedtime resistance. Results highlight the importance of consistent bedtime routines for quality sleep.
摘要新冠肺炎大流行期间,儿童的日常生活,包括就寝时间,都被打乱了。土耳其尚未对父母如何参与孩子的就寝程序进行研究。当前研究的目的是了解儿童就寝习惯的性质,以及在新冠肺炎大流行期间,这些习惯如何影响他们的睡眠行为。313名(143名女孩)16至84个月大儿童(M=52.42,SD=12.36)的母亲完成了关于儿童就寝时间和睡眠行为的问卷调查。睡前常规问卷的结构得到了证实。回归分析结果表明,日常环境与就寝阻力和睡眠时间有关。就寝期间的反应性与就寝抵抗有关。研究结果强调了坚持就寝时间对高质量睡眠的重要性。
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引用次数: 2
Children’s access to dental care during the COVID-19 pandemic: a multi-country survey 新冠肺炎大流行期间儿童获得牙科护理的机会:一项多国调查
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-09-19 DOI: 10.1080/02739615.2022.2114478
H. Elkhodary, H. Sabbagh, Omar A El Meligy, I. Talaat, Enas B. Abdellatif, Mohamed Hassan Mostafa, Yousef Khader, O. B. Al-Batayneh, Sara Alhabli, N. Al-Khanati, Shabnum Qureshi, Nafeesa Qureshi, M. Yousaf, Yousef Falah Marafi, Sharifa Nasser Al Harrasi, S. Al-Rai, Noha Gomaa, Hala Mattar, Hanin A. Bakhaider, Bahia Samodien, Hanane Lố, M. El Tantawi
ABSTRACT We assessed the impact of COVID-19 on children’s access to dental care and determine factors associated with problems in accessing dental care. A multi-country cross-sectional survey collected data from caregivers of children from August 2020 to February 2021. The questionnaire was developed guided by the framework of the Andersen’s model of factors (predisposing, enabling and need). Multilevel logistic regression was used to assess the association between access-to-dental care problem and predisposing, enabling and need factors. A total of 4,843 caregivers from 20-countries reported on their children (52.3% males, mean age = 8.4 years) with 29.2% having access to care problem. A significantly greater percentage of caregivers from lower-middle-income countries (LMICs) than low-income countries (LICs), upper-middle-income countries (UMICs) and high-income countries (HICs) reported an access-to-dental care problem (P < .001). Caregivers living in LICS, university-educated caregivers, caregivers with older children and caregivers whose children had more frequent pain during the pandemic had higher odds of reporting an access to dental care problem. The association of the access problem with dental pain and dental insurance was modified by country income, showing a link between macrolevel contextual factors and the utilization of dental care in children that needs to be addressed in future studies.
摘要我们评估了新冠肺炎对儿童获得牙科护理的影响,并确定了与获得牙科护理问题相关的因素。一项多国横断面调查收集了2020年8月至2021年2月儿童保育员的数据。调查问卷是在Andersen因素模型(倾向、能力和需求)的框架下编制的。使用多水平逻辑回归来评估获得牙科护理问题与易感因素、促成因素和需求因素之间的关系。来自20个国家的4843名照顾者报告了他们的孩子(52.3%为男性,平均年龄=8.4岁),其中29.2%有获得照顾的问题。与低收入国家(LIC)、中上收入国家(UMIC)和高收入国家(HIC)相比,中低收入国家(LMIC)的护理人员报告有牙科护理问题的比例明显更高(P<.001),有较大孩子的照顾者和孩子在疫情期间疼痛更频繁的照顾者报告有牙科护理问题的几率更高。获得问题与牙痛和牙科保险之间的联系根据国家收入进行了修改,表明宏观层面的背景因素与儿童牙科护理的利用之间存在联系,需要在未来的研究中加以解决。
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引用次数: 3
Supporting parental caregivers of seriously ill children: findings from a feasibility and acceptability study of a hope intervention 支持重病儿童的父母照顾者:希望干预的可行性和可接受性研究的结果
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-09-12 DOI: 10.1080/02739615.2022.2119975
Meridith Burles, Jill M. G. Bally, Lorraine Holtslander, Marcelline Zimmer, Heather Hodgson-Viden
ABSTRACT Parents of seriously ill children face complex experiences for which support is valuable. We evaluated the Keeping Hope Possible Toolkit with 16 parental caregivers to assess feasibility and acceptability using a quasi-experimental design. Participants used the Toolkit for two to four weeks, and completed quantitative measures of hope, self-efficacy, uncertainty, and distress pre- and post-intervention and a qualitative interview. The measures were appropriate, despite no significant differences across timepoints. Qualitatively, the Toolkit supported hope, positive experiences, and navigation of emotions, confirming acceptability and feasibility following minor refinement. Findings will inform future research and subsequent implementation within family-centered pediatric healthcare.
重病儿童的父母面临着复杂的经历,支持是有价值的。我们使用准实验设计对16位家长看护人评估“保持希望可能”工具包的可行性和可接受性。参与者使用该工具包两到四周,并在干预前后完成希望、自我效能、不确定性和痛苦的定量测量和定性访谈。这些措施是适当的,尽管在时间点上没有显著差异。从质量上讲,该工具包支持希望、积极体验和情绪导航,确认了经过细微改进后的可接受性和可行性。研究结果将为未来的研究和随后在以家庭为中心的儿科医疗保健实施提供信息。
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引用次数: 3
Anxiety and depression in children with primary monosymptomatic nocturnal enuresis and their mothers 原发性单症状性夜间遗尿症患儿及其母亲的焦虑和抑郁
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-09-12 DOI: 10.1080/02739615.2022.2115371
F. Yazılıtaş, B. Açıkel, E. Çakıcı, T. Güngör, E. Çelikkaya, F. K. Eroğlu, D. Karakaya, G. Can, E. D. Kurt Şükür, M. Bülbül
ABSTRACT The aim of this prospective study is to investigate the presence of anxiety and depression in children with PMNE and their mothers. This is a cross-sectional study of outpatients who are diagnosed with PMNE at a nephrology clinic. The study included 79 children with PMNE and their mothers (patient group), and 80 randomly selected healthy non-enuretic children and their mothers (control group). Depression and anxiety levels of mothers were measured using the Turkish versions of the Beck Depression Inventory, Beck Anxiety Inventory, and Anxiety Sensitivity Index-3. The Turkish version of the Revised Child Anxiety and Depression Scale-Child Version was used to measure depression and anxiety in children. Patients with PMNE had significantly higher Child Anxiety and Depression Scale scores than controls (p < .001). Beck Depression Inventory, Beck Anxiety Inventory, and The Anxiety Sensitivity Index-3 scores of the mothers of children with PMNE were significantly higher than controls (p < .001 for all). We showed that PMNE was associated with depression and anxiety in mothers and their children. These findings underpin the necessity for clinical screening of anxiety and depression in children with PMNE and their mothers.
本前瞻性研究的目的是调查PMNE患儿及其母亲焦虑和抑郁的存在。这是一个横断面研究的门诊患者谁被诊断为PMNE在肾内科诊所。该研究包括79名经前综合症患儿及其母亲(患者组),以及80名随机选择的健康非尿毒症患儿及其母亲(对照组)。使用土耳其版本的贝克抑郁量表、贝克焦虑量表和焦虑敏感性指数-3来测量母亲的抑郁和焦虑水平。土耳其版修订儿童焦虑和抑郁量表-儿童版用于测量儿童的抑郁和焦虑。PMNE患者的儿童焦虑和抑郁量表得分明显高于对照组(p < 0.001)。PMNE患儿母亲的Beck抑郁量表、Beck焦虑量表和焦虑敏感指数-3得分均显著高于对照组(p < 0.001)。我们发现经前更年期与母亲及其子女的抑郁和焦虑有关。这些发现支持了临床筛查经前综合症儿童及其母亲的焦虑和抑郁的必要性。
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引用次数: 0
Predictors of burnout and distress in parents of children with autism spectrum disorder during COVID-19 home confinement COVID-19家庭隔离期间自闭症谱系障碍儿童父母倦怠和痛苦的预测因素
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-09-12 DOI: 10.1080/02739615.2022.2119974
Duygu Kaba, Jamal Hasanlı, Aysegul Efe, Meriç Yavuz-Çolak, Burcu Akın-Sarı
ABSTRACT The study’s purpose was to investigate the mental health and related variables of parents with an autism spectrum disorder (ASD) child during COVID-19 home confinement. The study data is based on the evaluation of online self-report questionnaires that assess parental distress, burnout, and coping levels, as well as parent-proxy reports of autism severity and related behavioral issues, as described by the parents of 79 children with ASD and their 83 typically developing age- and sex-matched opponents. The burnout and adaptive coping levels of the parents with ASD children were greater than those of the controls. However, there was no significant difference in terms of general distress levels. Increased irritability was the most commonly reported symptom among children with ASD. However, behavioral issues in children were the strongest predictor of parental burnout, whereas maladaptive coping skills were linked to general distress. This study emphasizes the significance of treating the behavioral issues of children with ASD and the coping strategies of their parents for the mental well-being of this vulnerable population and their parents during home confinement.
摘要本研究旨在调查新冠肺炎家庭分娩期间自闭症谱系障碍(ASD)儿童父母的心理健康和相关变量。该研究数据基于对在线自我报告问卷的评估,该问卷评估了父母的痛苦、倦怠和应对水平,以及父母对自闭症严重程度和相关行为问题的代理报告,79名自闭症谱系障碍儿童的父母和83名年龄和性别相匹配的典型发育对手对此进行了描述。ASD患儿父母的倦怠和适应性应对水平高于对照组。然而,在总体痛苦程度方面没有显著差异。易怒是ASD儿童最常见的症状。然而,儿童的行为问题是父母倦怠的最强预测因素,而不适应的应对技能与普遍的痛苦有关。这项研究强调了治疗自闭症谱系障碍儿童的行为问题及其父母的应对策略对这一弱势群体及其父母在家庭禁闭期间的心理健康的重要性。
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引用次数: 2
The impact of child anxiety and overinvolvement on peer relations: a moderation model 儿童焦虑和过度参与对同伴关系的影响:一个适度模型
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-09-06 DOI: 10.1080/02739615.2022.2117179
Emily P. Wilton, T. Gladstone, A. Lahoud, Sydney D Biscarri Clark, Chandni G. Fredrickson, C. Flessner
ABSTRACT Protective parenting behaviors (e.g., overinvolvement) and symptoms of anxiety have been independently linked to poor peer relationships in youth. However, it is likely that the relationship between these factors is more complex. We hypothesized that child anxiety would be inversely associated with peer relationships and that this relationship would be stronger in the context of high parental overinvolvement. Data were collected from 92 parents, and a simple moderation analysis was conducted, controlling for youth externalizing symptoms. Externalizing symptoms significantly influenced the overall model; however, no other variables were significantly related to peer relationships. Conclusions, limitations, and future directions are discussed.
保护性的父母行为(例如,过度参与)和焦虑症状与青少年不良的同伴关系独立相关。然而,这些因素之间的关系可能更为复杂。我们假设儿童焦虑与同伴关系呈负相关,并且这种关系在父母高度过度参与的情况下会更强。收集了92名家长的数据,并进行了简单的适度分析,控制青少年外化症状。外化症状显著影响整体模型;然而,没有其他变量与同伴关系显著相关。讨论了结论、局限性和未来发展方向。
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引用次数: 0
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Childrens Health Care
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